Active NPI
Sidney W Kass, MD
- Anesthesiology Physician
- Henderson, NV
National Provider Identifier
1295798635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 3397
- Practice address
- 100 N Green Valley Pkwy
#325
Henderson, NV 89074-6391 - Phone
- (702) 776-7137
- Fax
- (702) 776-7138
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 3397 | MN | Primary |
Addresses
Primary practice location
100 N Green Valley Pkwy
#325
Henderson, NV 89074-6391
Mailing address
100 N Green Valley Pkwy
#325
Henderson, NV 89074-6391
Phone (702) 776-7137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33G01TW | Other | MN | BLUE CROSS MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3397 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centeno-Schultz, Inc | Past | Accepting new patients | |
| Kass Medical Holdings Inc | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Anesthesiology Physician
- Valley Village, CA
- NPI 1659628071
-
- Interventional Pain Medicine Physician
- Broomfield, CO
- NPI 1003864398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1295798635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N GREEN VALLEY PKWY",
"address_2": "#325",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746391",
"telephone_number": "702-776-7137",
"fax_number": "702-776-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N GREEN VALLEY PKWY",
"address_2": "#325",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746391",
"telephone_number": "702-776-7137",
"fax_number": "702-776-7138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASS",
"first_name": "SIDNEY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "3397",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MN",
"identifier": "33G01TW",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.